Workers’ Compensation Case Studies and Success Stories

Case study: Implant Savings Program

For this calcaneus open reduction internal fixation, Paradigm’s audit found non-reimbursable items (i.e., ancillary supplies) were billed as implantable hardware and that items implanted were found to be inconsistent with the procedure type.

Case study: Alexander Borges, 49

Catastrophic & Risk Solutions

Alexander, a structural engineer, was inspecting an industrial worksite when a portion of the roof collapsed and he fell 35 feet to the ground, sustaining life-threatening brain and multiple trauma injuries. With the help of his Paradigm Management Team, Alexander and his family received the level of medical and behavioral healthcare necessary to overcome an almost unimaginable catastrophic injury.

Case study: James “Jamie” Nance, 51

Catastrophic & Risk Solutions

While on duty, police officer James “Jamie” Nance was in a motorcycle accident that caused complete spinal cord injury and multiple trauma.

Case study: Prosthetics

Care at Home

Leveraging our specialized expertise and hands-on approach, our Certified Prosthetist Orthotist (CPO) worked directly with the providers, the adjuster, and the patient to start him off conservatively with more traditional prostheses that better fit his current situation and significantly reduced costs.

Case study: Home Healthcare

Care at Home

Read how Paradigm, expert in workers’ compensation home health, developed a care plan to save the client money on a quadriplegic who was prescribed daily wound care.